多指标联合监测对子痫前期不良围产儿预后的影响

目的:探讨多指标联合监测在子痫前期不良围产儿预后中的应用价值.方法:回顾性分析本院2018年1月至2020年10月收治子痫前期孕妇60例,根据临床表现的严重程度分为子痫前期者30例(子痫前期组)和重度子痫前期者30例(重度子痫前期组),同期选择30例正常孕妇(对照组).所有研究对象均采用手动血压监测、无刺激胎心监护(N...

The effect of multi-indicator combined monitoring on the prognosis of poor perinatal infants with preeclampsia

Objective:To investigate the application value of multiple indicators combined monitoring in perinatal prognosis of preeclampsia.Methods:A retrospective analysis was performed on 60 pregnant women with preeclampsia admitted to our hospital from January 2018 to October 2020.According to the severity of clinical manifestations,they were divided into 30 cases of preeclampsia(preeclampsia group)and 30 cases of severe preeclampsia(severe preeclampsia group),and 30 cases of normal pregnant women(control group)were selected during the same period.All subjects underwent manual blood pressure monitoring,non-stimulating fetal heart monitoring(NST),and color Doppler ultrasound to measure the umbilical artery blood flow resistance.The mean blood pressure,NST,S/D ratio and perinatal adverse prognosis were compared among the three groups.Results:There were significant differences in mean systolic blood pressure,mean diastolic blood pressure and S/D ratio at 1d among the three groups(F=90.142,F=12.304,F=351.087,P<0.001).There were statistically significant differences in non-reactive NST,suspicious reactive NST and reactive NST among the three groups(χ²=0.024,P=0.016;χ²=0.029,P=0.026;χ²=0.0055,P<0.001);There was significant difference in the incidence of hyaline membrane disease among the three groups(χ²=2.109,P=0.039),but there was no significant difference in the incidence of neonatal death,neonatal hypoxic encephalopathy and neonatal asphyxia among the three groups(P>0.05).Conclusion:Manual blood pressure monitoring combined with fetal heart monitoring and umbilical cord blood flow resistance S/D ratio can better identify the risk of maternal and infant adverse outcomes,and has certain predictive value for the prognosis of adverse perinatal outcomes.